Northeast Atlanta Ear Nose & Throat, PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NORTHEAST ATLANTA EAR NOSE & THROAT, PC

Practice address

3915 Johns Creek Court
Suite 100
Suwanee, GA 30024

Phone

(770) 237-3000

Fax

(678) 992-2536

NPI assigned

Aug 31, 2006

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nina Fischbach

Title

Ceo

Phone

(770) 939-9614

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michaela Bell

  • Audiologist
  • Lawrenceville, GA
  • NPI 1831073568
  Medicare reassignment Care Compare group NPD
• Matthew Carmichael, M.D.

  • Otolaryngology Physician
  • Lawrenceville, GA
  • NPI 1871820852
  Medicare reassignment Care Compare group NPD
• Ajaz L Chaudhry, M.D.

  • Otolaryngology Physician
  • Lawrenceville, GA
  • NPI 1356507115
  Medicare reassignment Care Compare group NPD
• James Ding, DO

  • Otolaryngology Physician
  • Lawrenceville, GA
  • NPI 1396249173
  Medicare reassignment Care Compare group NPD
• Kasheen Fasha Faustin, AUD

  • Audiologist
  • Lawrenceville, GA
  • NPI 1134645948
  Medicare reassignment Care Compare group NPD
• Christopher Michael Gentile, M.D.

  • Otolaryngology Physician
  • Lawrenceville, GA
  • NPI 1730534967
  Medicare reassignment Care Compare group NPD
• Ravi Gorav, M.D

  • Otolaryngology Physician
  • Lawrenceville, GA
  • NPI 1871596213
  Medicare reassignment Care Compare group NPD
• Lindsay Johnson Katz

  • Audiologist
  • Stockbridge, GA
  • NPI 1679988877
  Medicare reassignment Care Compare group NPD
• Kathryn O Krause, AU.D.

  • Audiologist
  • Roswell, GA
  • NPI 1891804837
  Medicare reassignment Care Compare group NPD
• Elizabeth J Nerren, AU.D.

  • Audiologist
  • Lawrenceville, GA
  • NPI 1811155823
  Medicare reassignment Care Compare group NPD
• Jeffrey Ira Roth, MD

  • Otolaryngology Physician
  • Suwanee, GA
  • NPI 1417945320
  Medicare reassignment Care Compare group NPD
• Katie M Saleeby, AU.D.

  • Audiologist
  • Suwanee, GA
  • NPI 1962660050
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1194836254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 JOHNS CREEK COURT",
            "address_2": "SUITE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "770-623-1608",
            "fax_number": "678-992-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 JOHNS CREEK COURT",
            "address_2": "SUITE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "770-237-3000",
            "fax_number": "678-992-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ATLANTA EAR NOSE & THROAT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "FISCHBACH",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-939-9614"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055001197A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• North Ophthalmology Referral Center, LLC (Woolfson Eye Institute, LLC)
• Samantha North, RBT
• Elizabeth J Noyes, D.O.
• Sarah Danielle Nugent, PA-S
• Nuhaven of Hope Inc (Nuhaven of Hope)
• Yasmin Nuru, NP
• Tonya Nussbaum, AUD

• Otolaryngology Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.